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Intersection syndrome: ultrasound imaging

Abstract

Objective

To evaluate the use of ultrasound for the diagnosis of intersection syndrome.

Materials and methods

A total of 1,131 reports from hand and wrist ultrasound examinations performed between 1 January 2008 and 31 December 2012 were re-evaluated.

Two hundred and fifteen video clips present in the electronic database were reviewed by two musculoskeletal radiologists with 20 years of experience.

Results

Of the 215 video clips reviewed, 21 patients were diagnosed with intersection syndrome. The mean age was 45 years (ranging from 22 to 60); 15 were male (13 with proximal intersection syndrome, 2 with distal intersection syndrome) and 6 female (5 with proximal intersection syndrome, 1 with distal intersection syndrome).

Conclusion

Intersection syndrome was identified in 1.9 % of all patients evaluated in the setting of a specialized hospital. Ultrasound is a non-invasive, simple, and economical method for the identification of intersection syndrome, tendon sheath anatomy (individual or separate sheaths) and to exclude other pathological conditions.

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References

  1. Costa CR, Morrison WB, Carrino JA. MRI features of intersection syndrome of the forearm. AJR Am J Roentgenol. 2003;181(5):1245–9.

    PubMed  Article  Google Scholar 

  2. Draghi F. Ultrasonography of the upper extremity: hand and wrist. Berlin: Thieme & Frohberg. 2013. p. 47–52.

    Google Scholar 

  3. Bianchi S, Martinoli C. Ultrasound of the musculoskeletal system. Berlin: Springer. 2007. p. 453.

    Google Scholar 

  4. Friedman L. The wrist and hand. In O’Neill J. Musculoskeletal ultrasound. Berlin: Springer. 2008. p. 121–151.

    Chapter  Google Scholar 

  5. Cvitanic OA, Henzie GM, Adham M. Communicating foramen between the tendon sheaths of the extensor carpi radialis brevis and extensor pollicis longus muscles: imaging of cadavers and patients. AJR Am J Roentgenol. 2007;189(5):1190–7.

    PubMed  Article  Google Scholar 

  6. de Lima JE, Kim HJ, Albertotti F, Resnick D. Intersection syndrome: MR imaging with anatomic comparison of the distal forearm. Skeletal Radiol. 2004;33(11):627–31.

    PubMed  Article  Google Scholar 

  7. Zbrodowski A, Gajisin S, Grodecki J. Vascularization of the tendons of the extensor pollicis longus, extensor carpi radialis longus and extensor carpi radialis brevis muscles. J Anat. 1982;135(Pt 2):235–44.

    CAS  PubMed  Google Scholar 

  8. Lee RP, Hatem SF, Recht MP. Extended MRI findings of intersection syndrome. Skeletal Radiol. 2009;38(2):157–63. doi:10.1007/s00256-008-0587-4.

    PubMed  Article  Google Scholar 

  9. De Maeseneer M, Marcelis S, Jager T, Girard C, Gest T, Jamadar D. Spectrum of normal and pathologic findings in the region of the first extensor compartment of the wrist: sonographic findings and correlations with dissections. J Ultrasound Med. 2009;28(6):779–86.

    PubMed  Google Scholar 

  10. Tagliafico AS, Ameri P, Michaud J, Derchi LE, Sormani MP, Martinoli C. Wrist injuries in nonprofessional tennis players: relationships with different grips. Am J Sports Med. 2009;37(4):760–7.

    PubMed  Article  Google Scholar 

  11. Parellada AJ, Gopez AG, Morrison WB, et al. Distal intersection tenosynovitis of the wrist: a lesser-known extensor tendinopathy with characteristic MR imaging features. Skeletal Radiol. 2007;36(3):203–8.

    PubMed  Article  Google Scholar 

  12. Draghi F, Robotti G, Jacob D, Bianchi S. Interventional musculoskeletal ultrasonography: precautions and contraindications. J Ultrasound. 2010;13(3):126–33.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  13. Nayak SR, Krishnamurthy A, Prabhu LV, Rai R, Ranade AV, Madhyastha S. Anatomical variation of radial wrist extensor muscles: a study in cadavers. Clin (Sao Paulo). 2008;63(1):85–90.

    Article  Google Scholar 

  14. Hong MK, Hong MK. An uncommon form of the rare extensor carpi radialis accessorius. Ann Anat. 2005;187(1):89–92.

    PubMed  Article  Google Scholar 

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Correspondence to Chandra Bortolotto.

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Draghi, F., Bortolotto, C. Intersection syndrome: ultrasound imaging. Skeletal Radiol 43, 283–287 (2014). https://doi.org/10.1007/s00256-013-1786-1

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  • DOI: https://doi.org/10.1007/s00256-013-1786-1

Keywords

  • Ultrasound
  • Overuse syndrome
  • Wrist